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Application form
Digital Upskilling and Reskilling for Ukrainian Women Refugees in Poland and Women Internally Displaced Women in Ukraine
1.
Eligibility and Contact Information
*
1.
Full name
(Required.)
*
2.
Please indicate your gender.
(Required.)
Female
Male
Non-binary
Other
I prefer not to say
*
3.
Your birthday
(Required.)
*
4.
Your email
(Required.)
*
5.
Your telephone number, including country code
(Required.)
*
6.
Your current country, city and region of residence
(Required.)
*
7.
Which applicant category applies to you?
(Required.)
Ukrainian woman refugee currently residing in Poland
Ukrainian woman internally displaced within Ukraine
Neither of the above
Other (please specify)
*
8.
I confirm that I am a Ukrainian woman refugee currently residing in Poland or a Ukrainian woman internally displaced within Ukraine. I understand that I may be asked to provide supporting documentation if selected.
(Required.)
Yes
No
*
9.
Do you have any disability?
This information is collected to inform UNITAR Management on the profile of its beneficiaries. Answering this question is strictly voluntary, however. Any information that may be provided by you will be presented in aggregate form and not attributed to you.
UNTAR defines persons with a disability as those "who have long-term physical, mental, intellectual or sensory impairments which in interaction with various barriers may hinder their full and effective participation in society on an equal basis with others." (Convention on the Rights of Persons with Disabilities, art. 1).
(Required.)
Yes
No
Prefer not to answer this question
*
10.
Approximately how many hours per week can you dedicate to the programme?
(Required.)
Fewer than 3 hours
3 to 5 hours
6 to 8 hours
9 to 12 hours
More than 12 hours
*
11.
Do you have regular access to a computer and a stable internet connection suitable for online learning?
(Required.)
Yes
No
Other (please specify)
Current Progress,
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